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Individual

CHRISTINE LA PORTE PALANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MS, ANP-C

Contact information

Practice address
SHEPHERD UNIV STUDENT HEALTH SERVICES, E KING ST, SHEPHERDSTOWN, WV 25443-1032
(304) 876-5161
(304) 876-5509
Mailing address
630 SHEPHERD LN, SHEPHERDSTOWN, WV 25443-4681
(304) 876-2991
(304) 876-5509

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
29775
WV

Other

Enumeration date
10/12/2005
Last updated
07/08/2007
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